J Reconstr Microsurg 2009; 25(4): 267-269
DOI: 10.1055/s-0029-1215525
© Thieme Medical Publishers

Venous Flow-Through Flap Reconstruction Following Severe Finger Wound Infection: Case Report

Pravin George1 , Ramon A. DeJesus2
  • 1LECOM College of Medicine, Erie, Pennsylvania
  • 2Assistant Professor, Department of Plastic and Reconstructive Surgery, Johns Hopkins University, Director of Hand Surgery, Upper Chesapeake Hospital, Bel Air, Maryland
Further Information

Publication History

Publication Date:
19 March 2009 (online)


We report a case of a 22-year-old patient who sustained a box-cutter injury to the index finger on her right hand complicated by severe felon. Extensive tissue debridement left the patient with a defect exposing the underlying flexor tendon. A venous flow-through flap from the right forearm was used to provide coverage, which survived completely without venous congestion. Excellent functional and cosmetic result was achieved with this approach. Because of its similarity in color and non-hair-bearing nature, the venous flow-through flap serves as an excellent approach for volar digital defect coverage in which the underlying flexor tendon is exposed.


Ramon A DeJesus, M.D. 

PO Box 845, Bel Air

MD 21014